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Questions 149

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Question 1 of 5

A 22-year-old female primigravida who is at 36 weeks' gestation is seen in the ED with a low platelet count, ALT of 68 U/L, AST of 55 U/L, and a continuous, severe headache that has lasted three days. The nurse prepares for what to occur?

Correct Answer: C

Rationale: The symptoms suggest HELLP syndrome (hemolysis, elevated liver enzymes, low platelets), a medical emergency requiring prompt delivery of the baby.

Question 2 of 5

The nurse is performing discharge instruction to a client with an implantable defibrillator. What discharge instruction is essential?

Correct Answer: C

Rationale: Using a cell phone on the opposite side of the defibrillator reduces electromagnetic interference with the device.

Question 3 of 5

The nurse notes the following laboratory test results on a 24-hour postburn client. Which abnormality should be reported to the physician immediately?

Correct Answer: A

Rationale: Hyperkalemia (7.5 mEq/L) is life-threatening, risking cardiac arrhythmias, and requires immediate reporting for urgent correction.

Question 4 of 5

The school nurse recognizes that meningitis can be caused by which of the following? Select all that apply.

Correct Answer: A,B,C,D,E

Rationale: Meningitis can be caused by bacteria, viruses, fungi, parasites, or noninfectious factors (e.g., cancer, trauma).

Question 5 of 5

A client is admitted with symptoms of pseudomembranous colitis. Which finding is associated with Clostridium difficile?

Correct Answer: A

Rationale: Clostridium difficile infection causes pseudomembranous colitis, characterized by diarrhea with blood and mucus due to toxin-mediated colonic inflammation.

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